Browsing by Author "Demir, G."

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The Clinical Features, Risk Factors and Treatment Methods of Patients With Acute Coronary Syndrome
(Excerpta Medica inc-elsevier Science inc, 2014) Aladag, N.; Yurtdas, M.; Ozdemir, M.; Gonullu, H.; Babat, N.; Demir, G.; Gumrukcuoglu, H.
End-Of Results of Turkish Gastric Cancer Patients From the Global Regate Study
(Zerbinis Publications, 2014) Yalcin, S.; Gumus, M.; Kilickap, S.; Alkis, N.; Ilhan, M.; Oksuzoglu, B.; Demir, G.
Purpose: Registry of Gastric Cancer Treatment Evaluation (REGATE) study was an international, prospective study including over 10000 patients from 22 countries, designed to describe the pattern of care in gastric cancer globally. The aim of this study was to summarize the data of the Turkish arm and compare them with the global results. Methods: Ten centers from Turkey took part in the REGATE registry. Between 2004 and 2008, 395 patients (median age, 60 years; range, 18-91, 67.6% men) with newly diagnosed primary adenocarcinoma of the stomach were followed at initial visit and 8-10 months later, at the time of treatment completion. Data on patient demographics, medical history, histopathology, cancer stage, planned and realized treatments was prospectively collected. Data processing and analysis were conducted centrally. Results: In Turkey, the majority of patients were diagnosed at an advanced stage, while the rate of surgery was lesser compared with the rest of the world. Realized treatment included more palliative-only therapy than initially planned (63.3%), while no therapy was recommended in 21.8%. Surgery involved total gastrectomy (46.3%) or distal subtotal gastrectomy (51.9%), with 87% R0 resection, 51.0% D1 and 44.9% D2 lymph node dissection. Combination chemotherapy was administered in more than half of the patients receiving palliative therapy (57.9%). Chemoradiotherapy was used in 66.7% of the cases receiving adjuvant therapy. Radiotherapy was applied to 32% of the cases receiving palliative therapy. Conclusion: Advanced stage gastric cancer is highly prevalent in Turkey. Increasing public awareness and implementing screening programs in high risk groups may help identify gastric cancer at earlier stages.
Evaluation of the Patients With Lymph Node Tuberculosis
(2013) Garca, M.F.; Aslan, M.; Demir, G.; Bilgen, S.; Uysal, M.
Lymph node tuberculosis (LNT) is chronic granulomatous inflammation of the lymph nodes. The aim of the present study is to review the epidemiologic, clinical and laboratory features of patients with LNT retrospectively. The records of 138 patients admitted to tuberculos dispensary between 2005 and 2010 with the diagnosis of tuberculosis were reviewed retrospectively and LNT cases were investigated. Twenty one cases were identified with LNT. 13 patients were female (61.9%), 8 (38.1%) were male and mean age was 41 ± 21 years. The female to male ratio of LNT cases was 1.625 (13/8). The most common complaint was palpable mass on neck. Just cervical lymph nodes were the most frequently involved; in 15 (71.5%) patients. Only 2 cases have contact history with tuberculosis cases (9.5%) and two cases had a history of pulmonary tuberculosis (9.5%). After confirmation of diagnosis all patients were treated with combined anti-tuberculous therapy for at least six months. LNT is seen more frequently in females than males. It should be considered in the differential diagnosis of the neck masses.
Incidentally Detection of the Swyer-James Syndrome With Opposite Side Pneumonia
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Demir, G.; Aslan, M.
Swyer-James Syndrome (SJS) is a rare disease that is also known as unilateral hyperlucent of the lung. This disease may lead to atelectasis and pulmonary hypoplasia. The viral and bacterial respiratory system infections in the childhood are considered as predisposing factors of the chronical bronchial inflammation that leads to SJS. It is characterized by obliteration of the bronchias, air-trapping and lung hypoperfusion. In this report, we describe the case of a 50-year-old male with pneumonia and incidentally detected SJS in the other side of the thorax. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
The Pneumatic Compression Test and Modified Pneumatic Compression Test in the Diagnosis of Carpal Tunnel Syndrome
(Sage Publications Ltd, 2007) Tekeoglu, I.; Dogan, A.; Demir, G.; Dolar, E.
There are no precise criteria for the diagnosis of carpal tunnel syndrome (CTS): the history is useful but the value of the various provocative tests is questionable. The purpose of this study was to examine the diagnostic value of a new provocative test, the 'modified pneumatic compression test' in CTS. The study group consisted of 37 patients with 50 symptomatic CTS hands. A control group of 50 healthy volunteers was recruited. The diagnosis was based on a combination of the history, the clinical findings on examination and electrophysiological criteria. Sensitivity for the pneumatic compression and the modified pneumatic compression tests were 68% and 84%, respectively. Specificities for these tests were 97% and 95%, respectively. The modified pneumatic compression test demonstrated high sensitivity and specificity for CTS. This test facilitated the diagnosis and was easy to use. It may reduce referrals for neurophysiology testing, and so reduce costs.